Pope Francis kicks off a red-letter global child protection summit on Thursday for reflections on the sex abuse crisis, while victims tired of hearing pledges for change clamour for incisive reforms.
The pontiff has set aside three and a half days to convince Catholic bishops to tackle paedophilia in a bid to contain a scandal, which hit an already beleaguered Church again in 2018, from Chile to Germany and the United States.
The 82-year-old hopes to raise awareness through prayers, speeches, working groups and testimonies from victims.
The idea is that the 114 heads of bishops' conferences will return home with clear ideas on how to spot and deal with abuse.
The task is made difficult by the fact that some churches, in Asia and Africa in particular, deny the problem exists.
"My hope would be that people see this as a turning point," said American Cardinal Blase Cupich, one of the pope's trusted allies in the United States and one of the summit's four organisers.
The US Catholic Church has been shaken by one of the gravest crises in its history, with the defrocking last week by Pope Francis of a former cardinal -- American Theodore McCarrick -- over accusations he sexually abused a teenager 50 years ago.
'Silence A No-Go'
"It's not the end game, no one can ever say that... (but) we're going to do everything possible so people are held responsible, accountable and that there is going to be transparency," Cupich told journalists said ahead of the meeting.
These three themes -- responsibility, accountability and transparency -- will form the backbone of the summit and provide its 190 participants with the keys to ensuring child safety, he said.
There are reforms in the pipeline, such as the "tweaking" of certain canon laws, according to another of the organisers, Maltese Archbishop Charles Scicluna.
But the suggestion that Church laws need only fine-tuning has angered many, including Anne Barrett Doyle, the co-director of BishopAccountability.org, a public database that documents cases of proven or suspected cleric sex crimes.
"Canon law has to be changed: not tweaked, not modified, but fundamentally changed, so that it stops prioritising the priesthood... over the lives of children, and vulnerable adults who are sexually assaulted by them," she said.
Scicluna insists that summoning Church leaders from all continents to Rome "is in itself a very important message".
The Maltese spent 10 years as the Vatican's top prosecutor on paedophilia cases, and was picked by Francis to travel to Chile last year to hear from victims whose voices had previously been silenced by an internal Church cover-up.
Scicluna has called for an end to the code of silence and culture of denial within the centuries-old institution.
"Silence is a no-go, whether you call it omerta or simply a state of denial," he said this week.
"We have to face facts because only the truth of the matter, and confronting the facts, will make us free," he added.